The NHS removes moles when there is a medical reason, most importantly when skin cancer is suspected. Moles removed purely because of how they look are generally not funded. If you have a harmless mole that bothers you cosmetically or catches on clothing, private removal is usually the route, while any mole that is changing should be checked by your GP first.
When the NHS will remove a mole
Your GP is the starting point. NHS removal is usually considered when:
- Skin cancer is suspected: a mole shows ABCDE warning signs, is changing, or bleeds or itches without explanation.
- Diagnosis is uncertain: a specialist cannot be confident a lesion is harmless without removing it for examination.
- Significant symptoms: in some areas, a mole that repeatedly becomes inflamed, infected or bleeds may qualify, depending on local policy.
If melanoma or another skin cancer is suspected, your GP can make an urgent referral to a specialist skin cancer service, where the lesion will be assessed and removed if needed.
When the NHS usually will not
Most NHS areas do not fund removal of harmless moles for cosmetic reasons, for example because of their position on the face, their size or their colour. Local commissioning policies set the exact criteria, and they vary around the country. Occasional catching on clothing is often not enough on its own. Your GP can explain the policy in your area.
What happens at an NHS skin cancer referral
If you are referred, a dermatologist or plastic surgeon will examine the mole, usually with a dermatoscope, and may photograph it. Some moles are monitored rather than removed. If removal is recommended, it is usually carried out as a full-thickness excision under local anaesthetic, with the tissue sent for histology. Further treatment depends on the result. This process is designed for diagnosis and treatment, so the cosmetic appearance of the scar is a secondary consideration, although care is still taken.
Private mole removal
For moles that are harmless but unwanted, private removal gives you choice over timing and technique. Mr Nassab will examine the mole, discuss whether a shave or excision is more suitable and explain the likely scar. The tissue is usually sent for histology so that the diagnosis is confirmed. Private removal is not a way to bypass assessment of a suspicious mole: if a mole looks concerning, Mr Nassab will explain the findings and advise on the appropriate pathway, which may be referral to a specialist skin cancer service.
Comparing the two routes
- Reason for removal: the NHS focuses on medical need; private care can also address cosmetic concerns.
- Waiting time: urgent cancer referrals are prioritised on the NHS; routine or cosmetic removal privately is usually arranged at a time that suits you.
- Technique: the NHS usually uses excision for diagnosis; privately, the technique can be chosen to balance diagnosis and appearance, where safe.
- Cost: NHS care is free at the point of use; private removal is from £650 with a separate consultation fee of £150.
Moles you should never ignore
Regardless of cost or cosmetic concerns, see your GP promptly if a mole is new in adulthood and growing, changes in size, shape or colour, has an irregular border or several colours, or itches, bleeds or crusts without cause. A sore that does not heal should also be checked. Early assessment matters, and it is always better to have a mole checked and reassured than to wait. If you have already paid privately for a mole to be removed and it turns out to need further treatment, you can be referred back into NHS care, so cost need not be a barrier to getting a worrying mole looked at.
Checking and protecting your skin
Get to know your moles and check your skin every month or so. Take photographs to compare over time, and use a mirror or ask a partner to check your back. Protect your skin from sunburn, use sunscreen with good UVA protection and avoid sunbeds. People with many moles, fair skin, a history of sunburn or a family history of melanoma should be especially vigilant.
Frequently Asked Questions
Can my GP remove a mole?
Some GPs remove small harmless lesions, but most suspicious moles are referred to a specialist skin service for assessment and removal.
Will the NHS remove a mole on my face?
Not usually for cosmetic reasons alone. If the mole is suspicious, it will be assessed and removed if needed.
Is private mole removal expensive?
Private mole removal is from £650; the final price depends on the number of moles, technique and site and is confirmed after assessment. The consultation costs £150.
Is going private sensible if skin cancer is a worry?
See your GP promptly, as the NHS urgent referral pathway is designed for suspected cancer. A private consultation is an option, and Mr Nassab will advise on the right route.
